| NPI | 1467604231 |
|---|---|
| Former Name | NANCY LEE HENDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 30096) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA 25240) |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2010-02-26 |